COASTAL ROOTS PSYCHIATRY, LLC

COOS BAY, OR
NPI1417785569
Entity TypeOrganization
Authorized ContactASHLEY ANNE PHILLIPS
Pmhnp
541-294-7215
Organization Subpart ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date2024-07-22
Last Update Date2025-09-15
Business Address
COASTAL ROOTS PSYCHIATRY, LLC
180 S EMPIRE BLVD
COOS BAY, OR 97420-3352
Phone number: 541-543-2066
Mailing Address
COASTAL ROOTS PSYCHIATRY, LLC
180 S EMPIRE BLVD
COOS BAY, OR 97420-3352
Phone number: 541-543-2066
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